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Updated: Jun 13, 2026

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Atrial Leadless Pacemaker Embolization to the Left Common Iliac Vein With Successful Retrieval: A Case Report.

Toshihiko Goto1, Masashi Yokoi1, Yoshiro Tsuruta1

  • 1Department of Cardiology Nagoya City University Graduate School of Medical Sciences Nagoya Japan.

Journal of Arrhythmia
|June 12, 2026
PubMed
Summary

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A dislodged leadless pacemaker migrated to a leg vein, posing a rare complication. Successful retrieval was achieved using a preventive strategy, highlighting venous anatomy

Area of Science:

  • Cardiology
  • Medical Devices
  • Vascular Anatomy

Background:

  • Leadless pacemakers offer advantages but carry risks.
  • Extracardiac migration is a rare but serious complication.
  • Understanding venous anatomy is crucial for device implantation.

Purpose of the Study:

  • To report a case of leadless pacemaker migration.
  • To emphasize the role of venous anatomy in implantation.
  • To demonstrate a successful retrieval strategy.

Main Methods:

  • Case report of a dislodged atrial leadless pacemaker.
  • Analysis of patient's venous anatomy.
  • Description of device retrieval procedure.

Main Results:

Keywords:
atrial leadless pacemakerdislodgementextracardiac embolizationmigrationpacemaker retrieval

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  • The leadless pacemaker migrated to the left common iliac vein.
  • Venous anatomy contributed to implantation challenges.
  • Successful device retrieval was performed.

Conclusions:

  • Leadless pacemaker migration is a rare extracardiac complication.
  • Venous anatomy influences implantation success and complication risk.
  • Preventive strategies are key for successful device retrieval.